International Journal of Medicine and Surgery最新文献_第9页

Paradoxical reactions during Antituberculosis therapy - A single-center prospective analysis 抗结核治疗中的矛盾反应-单中心前瞻性分析

International Journal of Medicine and Surgery Pub Date : 2015-12-26 DOI: 10.15342/IJMS.V2I2.75

Dr Sanaa Hammi, Dr Naima Zemed, Dr Khalid Bouti, Pr Bourkadi Jamal Eddine, Bourkadi

引用次数: 0

Risk Factors For Diabetic Foot In Tetouan, Morocco - A Case-Control Study 摩洛哥得土安地区糖尿病足的危险因素-一项病例对照研究

International Journal of Medicine and Surgery Pub Date : 2015-12-26 DOI: 10.15342/IJMS.V2I2.79

Hicham Aoufi, S. Mouwafaq, A. Likos, A. Maaroufi

{"title":"Risk Factors For Diabetic Foot In Tetouan, Morocco - A Case-Control Study","authors":"Hicham Aoufi, S. Mouwafaq, A. Likos, A. Maaroufi","doi":"10.15342/IJMS.V2I2.79","DOIUrl":"https://doi.org/10.15342/IJMS.V2I2.79","url":null,"abstract":"Introduction Diabetes is a globally major public health problem. Its evolution is insidious and silent before the appearance of serious complications as a consequence in terms of morbidity than of mortality. Complications in the feet are among the most frequent and feared. This study helps identify factors associated with diabetic foot in diabetic patients in the province of Tetouan in public and private sector. Methods This is a case-control study in which 136 diabetic patients monitored in the public and private sector in the province of Tetouan were chosen. 68 patients had diabetic foot and 68 were diabetic patients without this complication. Data were collected from patients’ records and supplemented by interviews. The factors compared between the two groups were socio-demographic, biological and related to diabetes and lifestyle. These risk factors were determined by bivariate and multivariate analyses. Results Statistically significant associations were found between diabetic foot and several factors including: the irregular monitoring of patients: ORadjusted = 7.7 [1.9-23], the rate of glycated hemoglobin: ORadjusted = 1.7 [1.2-2.3], diabetes duration: ORadjusted = 1.2 [1.03-1.26], and physical activity ORadjusted = 1.1 [0.02-0.9]. However, no association was found between diabetic foot and the level of education or occupation. Conclusion To prevent the development of diabetic foot, more attention should be given to diabetic patients whose diabetes duration is long, patient monitoring should be regular and diabetes control should be optimal. In addition, physical activity is recommended for diabetic patients as part of promoting healthy lifestyles","PeriodicalId":259657,"journal":{"name":"International Journal of Medicine and Surgery","volume":"38 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2015-12-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"126066847","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Syphilis in Colonial Morocco - The Case of Bousbir 梅毒在殖民时期的摩洛哥- Bousbir的案例

International Journal of Medicine and Surgery Pub Date : 2015-12-26 DOI: 10.15342/IJMS.V2I2.65

F. Laboudi, J. Mehssani, Allal Ragoug

引用次数: 0

Myasthenia Revealed Following Laparotomy - A Case Report 剖腹手术后出现肌无力1例

International Journal of Medicine and Surgery Pub Date : 2015-12-15 DOI: 10.15342/IJMS.V2I1.16

A. Ghannam, A. Tazi, J. Tadili, M. Faroudy, A. Kettani

{"title":"Myasthenia Revealed Following Laparotomy - A Case Report","authors":"A. Ghannam, A. Tazi, J. Tadili, M. Faroudy, A. Kettani","doi":"10.15342/IJMS.V2I1.16","DOIUrl":"https://doi.org/10.15342/IJMS.V2I1.16","url":null,"abstract":"Myasthenia (muscle weakness) is a rare neuromuscular disease of which respiratory failure is the main complication. The accidental discovery of such disease in the perioperative period is rare and potentially serious. We report a case of a woman who underwent emergency operation for appendiceal peritonitis, and failed repeatedly at weaning from postoperative mechanical ventilation. The usual etiologies such as postoperative respiratory complications, ventilator-associated pneumonia, acute respiratory distress syndrome complicating the septic shock or having no impact on it, and neuromyopathy’s resuscitation were considered, researched, examined or eliminated. Faced with the diagnostic impasse and the obvious weaning failure, another interview revealed signs of muscle fatigue which led to the diagnosis of myasthenia gravis decompensated perioperatively. Once the diagnosis was confirmed by means of a neostigmine test, the specific treatment began, particularly through plasma exchange sessions, and the process of weaning resumed. The result was complete weaning. A three-month follow-up showed a stable patient with no significant muscular disability.","PeriodicalId":259657,"journal":{"name":"International Journal of Medicine and Surgery","volume":"1 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2015-12-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"129660055","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Bilateral acetabular fracture. Two case reports with literature review. 双侧髋臼骨折。两例报告并文献复习。

International Journal of Medicine and Surgery Pub Date : 2015-12-06 DOI: 10.15342/IJMS.V2I1.17

H. Boussakri, A. Elibrahimi, M. Elidrissi, M. Shimi, A. Elmrini

引用次数: 1

Pulmonary Tuberculosis and Diabetes Mellitus Profile 肺结核和糖尿病概况

International Journal of Medicine and Surgery Pub Date : 2015-12-06 DOI: 10.15342/IJMS.V2I1.68

H. Kouismi, S. Hammi, K. Bouti, A. Rhanim, K. E. Ataouna, R. Razine, J. Bourkadi

{"title":"Pulmonary Tuberculosis and Diabetes Mellitus Profile","authors":"H. Kouismi, S. Hammi, K. Bouti, A. Rhanim, K. E. Ataouna, R. Razine, J. Bourkadi","doi":"10.15342/IJMS.V2I1.68","DOIUrl":"https://doi.org/10.15342/IJMS.V2I1.68","url":null,"abstract":"Background About 95% of patients with tuberculosis (TB) and 70% of patients with diabetes mellitus (DM) live in low and middle-income countries. As a result, DM and TB are increasingly occurring together. The risk of tuberculosis is two to five times greater in patients with diabetes.The purpose of this study is to analyze the characteristics of pulmonary tuberculosis in patients with diabetes and to evaluate the impact of tuberculosis on diabetes control. Patients and Methods This is a retrospective study of 80 patients with confirmed pulmonary tuberculosis, comparing 30 patients with diabetes with 50 without diabetes. Results Diabetes was more frequent in older patients with tuberculosis and in male patients. 63,3% had type 2 diabetes. Tuberculosis symptoms did not differ between the two groups. Involvement of basal segments of the lower lobes and cavitation occurred more frequently in patients with diabetes, but this difference was not significant. The time for conversion to negative of sputum culture was longer in control patients (44,1 ± 20,2 days) than in case (36 ± 18.3) (p = 0.08). Conclusion Tuberculosis is frequently associated with diabetes mainly in low-income countries. The problem with this association could be accentuated in the future.","PeriodicalId":259657,"journal":{"name":"International Journal of Medicine and Surgery","volume":"67 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2015-12-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"114329714","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 3

Head and Neck Sarcomas - Our Experience at a Tertiary Care Center in Rabat, Morocco 头颈部肉瘤-我们在摩洛哥拉巴特三级护理中心的经验

International Journal of Medicine and Surgery Pub Date : 2015-12-05 DOI: 10.15342/IJMS.V2I1.67

Rajae Borki, S. Nitassi, A. Ayoubi, R. Bencheikh, A. Oujilal, A. Benbouzid, L. Essakalli

{"title":"Head and Neck Sarcomas - Our Experience at a Tertiary Care Center in Rabat, Morocco","authors":"Rajae Borki, S. Nitassi, A. Ayoubi, R. Bencheikh, A. Oujilal, A. Benbouzid, L. Essakalli","doi":"10.15342/IJMS.V2I1.67","DOIUrl":"https://doi.org/10.15342/IJMS.V2I1.67","url":null,"abstract":"Introduction : Head and neck sarcomas are rare, malignant and very heterogeneous tumors. The difficulty to manage these sarcomas requires the intervention of a multidisciplinary team to improve the prognosis. The aim of our study is to report our series (epidemiological, histological and progressive characteristics) and evaluate our treatment results. Patients and methods : This is a retrospective study on 42 cases of head and neck sarcomas, assembled at ENT and Maxillofacial Surgery department in the University Hospital of Rabat, for a period of 5 years (2010-2015). All sarcomas were confirmed by histological examination with immunohistochemical study. Results : There were 29 men and 13 women. The average age of our patients was 35.5 years (extremes of age: 13 and 70 years). All patients received a CT scan with MRI scan in 21 cases. A remote extension assessment showed lung metastases in 8 cases. The most frequently found histological type was synovial sarcoma, which was noted in 13 patients (30.9%) followed by osteosarcoma (21.2%). The osteosarcoma treatment was curative in 19 cases, based on surgery with radiotherapy. Total remission was noted in twelve patients. Conclusion : Head and neck sarcomas are rare and very aggressive cancers with poor prognosis. The treatment approach combines surgery and chemoradiation. However, in the absence of adequate and effective treatment protocols, it is necessary to establish a surgical indication in time to ensure excision as complete as possible.","PeriodicalId":259657,"journal":{"name":"International Journal of Medicine and Surgery","volume":"87 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2015-12-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"130811579","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 1

Neurological Manifestations In Inflammatory Bowel Disease 炎症性肠病的神经学表现

International Journal of Medicine and Surgery Pub Date : 2015-12-05 DOI: 10.15342/IJMS.V2I1.59

Y. Hnach, F. Ajana, I. Benbelbarhdadi, W. Essamri, R. Afifi, M. Benazzouz, Abdellah Essaid Elfeydi

{"title":"Neurological Manifestations In Inflammatory Bowel Disease","authors":"Y. Hnach, F. Ajana, I. Benbelbarhdadi, W. Essamri, R. Afifi, M. Benazzouz, Abdellah Essaid Elfeydi","doi":"10.15342/IJMS.V2I1.59","DOIUrl":"https://doi.org/10.15342/IJMS.V2I1.59","url":null,"abstract":"Introduction The purpose of this retrospective study was to report neurological manifestations noted in patients who were monitored for inflammatory bowel disease, in order to document the pathophysiological, clinical, progressive, and therapeutic characteristics of this entity. Material and methods We conducted a retrospective study on patients monitored -in the gastroenterology service in Ibn Sina Hospital in Rabat, Morocco- for inflammatory bowel disease from 1992 till 2013 and who developed neurological manifestations during its course. Patients with iatrogenic complications were excluded, as well as patients with cerebrovascular risk factors. Results There were 6 patients, 4 of whom have developed peripheral manifestations. Electromyography enabled the diagnosis to be made and the outcome was favorable with disappearance of clinical manifestations and normalization of the electromyography. The other 2 patients, monitored for Crohn’s disease, developed ischemic stroke. Cerebral computed tomography angiography provided positive and topographic diagnosis. Two patients were admitted to specialized facilities. Conclusion Neurological manifestations in inflammatory bowel disease are rarely reported. Peripheral neuropathies and stroke remain the most common manifestations. The mechanisms of these manifestations are not clearly defined yet. Currently, we hypothesize the interaction of immune mediators.","PeriodicalId":259657,"journal":{"name":"International Journal of Medicine and Surgery","volume":"2 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2015-12-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"129741459","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 1

Public-Private Partnerships In Health 卫生领域的公私伙伴关系

International Journal of Medicine and Surgery Pub Date : 2015-12-04 DOI: 10.15342/IJMS.V2I1.66

K. Bouti, Rajae Borki

引用次数: 5

Holt-Oram syndrome: a simple diagnosis that is often delayed Holt-Oram综合征:一种简单的诊断常常被延误

International Journal of Medicine and Surgery Pub Date : 2015-09-21 DOI: 10.15342/IJMS.V0I0.63

A. Bakkali

引用次数: 0